NPIMap

Organization Active NPI

Tristin Douglass

  • Nursing Care Agency
  • Zanesville, OH
National Provider Identifier
1619355443
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
PN.145931-M-IV Issued in OH
Legal business name
TRISTIN DOUGLASS
Practice address
2128 Hoge Ave
Zanesville, OH 43701-2130
Phone
(740) 618-3068
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tristin D Douglass, LPN
Title
LPN
Phone
(740) 618-3068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X PN.145931-M-IV OH Primary

Addresses

Primary practice location

2128 Hoge Ave
Zanesville, OH 43701-2130

Mailing address

2128 Hoge Ave
Zanesville, OH 43701-2130
Phone (740) 618-3068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1619355443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 HOGE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012130",
            "telephone_number": "740-618-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 HOGE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012130",
            "telephone_number": "740-618-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTIN DOUGLASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "TRISTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "740-618-3068",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "PN.145931-M-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.